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August 1949

PERITONEAL IRRIGATIONMethod of Treatment of Acute Renal Failure in an Infant

Am J Dis Child. 1949;78(2):237-247. doi:10.1001/archpedi.1949.02030050248008

UNLESS the patient with acute renal failure can rid himself of the waste products usually eliminated by the glomeruli of the kidney, he cannot long survive the resulting chemical imbalance. The chief aim of medical therapy, therefore, is to reestablish glomerular filtration or to remove waste products by some means other than the kidney. Recently, two successful methods of treatment by extrarenal pathways were demonstrated for adults with renal insufficiency. Kolff and Berk1 submitted the uremic patient's circulating blood to dialysis outside the body. Fine, Frank and Seligman2 used the peritoneum as a dialyzing membrane by irrigating the peritoneal cavity with fluid and removing the diffusible waste products. A review of 27 cases in which the patients were treated by peritoneal irrigation was presented by Odel and Ferris,3 and other instances in which this procedure has been used were also

Although the infant patient to be reported

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